Ill. Admin. Code tit. 89, § 140.474 - Payment for Home Health Care Services
a) Effective July 1, 2012, except for
services described in subsection (b), home health agencies will be paid an all
inclusive, per visit rate that shall be the lowest of the:
1) Agency's usual and customary charge for
the service;
2) Agency's Medicare
rate; or
3) Department's maximum
allowable rate of as identified in the Home Health Fee Schedule (see the
Department's website). Beginning with the State fiscal year 2002, the maximum
allowable rate may be adjusted annually in consideration of the appropriation
of funds by the General Assembly.
b) Payment to self-employed registered nurses
providing in-home nursing services is made at the community rate for those
services as determined for each case at the time prior approval is
given.
c) Payment for in-home shift
nursing for children who are under 21 years of age under Section
140.472(b)
shall be at the Department's established hourly rate to an agency licensed to
provide these services. The hourly rate for in-home shift nursing care may be
adjusted in consideration of the appropriation of funds by the General
Assembly.
d) Payment for medical
equipment and supplies will be made in accordance with Section
140.481.
Notes
Amended at 37 Ill. Reg. 10282, effective June 27, 2013
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.